Individual
DR. KELLEY MELISSA BASINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4235 INDIAN RIPPLE RD, STE 100, BEAVERCREEK, OH 45440-3247
(937) 427-2020
(937) 429-1144
Mailing address
4235 INDIAN RIPPLE RD, STE 100, BEAVERCREEK, OH 45440-3247
(937) 427-2020
(937) 429-1144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184274
—
OH
Enumeration date
08/12/2005
Last updated
10/17/2012
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